肿瘤
腫瘤
종류
TUMOR
2009年
12期
1158-1162
,共5页
彭鹏%王杰军%黄哲宙%顾凯%王春芳%向咏梅%鲍萍萍%龚杨明%吴春晓%许德凤%郑莹
彭鵬%王傑軍%黃哲宙%顧凱%王春芳%嚮詠梅%鮑萍萍%龔楊明%吳春曉%許德鳳%鄭瑩
팽붕%왕걸군%황철주%고개%왕춘방%향영매%포평평%공양명%오춘효%허덕봉%정형
肿瘤%疼痛%治疗%医师%问卷调查
腫瘤%疼痛%治療%醫師%問捲調查
종류%동통%치료%의사%문권조사
Neoplasms%Pain%Therapy%Physicians%Questionaire survey
目的:调查上海市医师对癌症疼痛的认识和治疗现状.方法:2007年1-3月对上海市106所二、三级医院1 982名医师进行癌痛治疗知识及治疗情况的问卷调查并进行统计学分析.结果:对"三阶梯止痛"治疗方案,52.3%的医师表示非常了解,比1999年上升了21.6个百分点,肿瘤科医师的了解程度明显好于非肿瘤科医师; 16.8%的医师对镇痛治疗剂量滴定的3个主要原则回答完全正确,肿瘤科医师回答的正确率高于非肿瘤科医师;强阿片类药物成为医师治疗重度癌痛的首选药物,应用杜冷丁治疗重度癌痛的比率下降;74.8%的患者通过治疗能使疼痛明显减轻,比1999年上升了25.4个百分点;81.1%的医师肯定疼痛治疗效果,肿瘤科医师对治疗效果更为乐观; 93.3%的医师认为有必要继续开展癌痛治疗知识的培训,其中非肿瘤科医师的需求更高.医院和政策法规限制过严是目前使用止痛药物的主要障碍.结论:医师对癌痛的认识和诊治水平较1999年有较大提高,但仍需进一步开展癌痛治疗知识的培训,推广规范性治疗并消除止痛药物的用药障碍.
目的:調查上海市醫師對癌癥疼痛的認識和治療現狀.方法:2007年1-3月對上海市106所二、三級醫院1 982名醫師進行癌痛治療知識及治療情況的問捲調查併進行統計學分析.結果:對"三階梯止痛"治療方案,52.3%的醫師錶示非常瞭解,比1999年上升瞭21.6箇百分點,腫瘤科醫師的瞭解程度明顯好于非腫瘤科醫師; 16.8%的醫師對鎮痛治療劑量滴定的3箇主要原則迴答完全正確,腫瘤科醫師迴答的正確率高于非腫瘤科醫師;彊阿片類藥物成為醫師治療重度癌痛的首選藥物,應用杜冷丁治療重度癌痛的比率下降;74.8%的患者通過治療能使疼痛明顯減輕,比1999年上升瞭25.4箇百分點;81.1%的醫師肯定疼痛治療效果,腫瘤科醫師對治療效果更為樂觀; 93.3%的醫師認為有必要繼續開展癌痛治療知識的培訓,其中非腫瘤科醫師的需求更高.醫院和政策法規限製過嚴是目前使用止痛藥物的主要障礙.結論:醫師對癌痛的認識和診治水平較1999年有較大提高,但仍需進一步開展癌痛治療知識的培訓,推廣規範性治療併消除止痛藥物的用藥障礙.
목적:조사상해시의사대암증동통적인식화치료현상.방법:2007년1-3월대상해시106소이、삼급의원1 982명의사진행암통치료지식급치료정황적문권조사병진행통계학분석.결과:대"삼계제지통"치료방안,52.3%적의사표시비상료해,비1999년상승료21.6개백분점,종류과의사적료해정도명현호우비종류과의사; 16.8%적의사대진통치료제량적정적3개주요원칙회답완전정학,종류과의사회답적정학솔고우비종류과의사;강아편류약물성위의사치료중도암통적수선약물,응용두랭정치료중도암통적비솔하강;74.8%적환자통과치료능사동통명현감경,비1999년상승료25.4개백분점;81.1%적의사긍정동통치료효과,종류과의사대치료효과경위악관; 93.3%적의사인위유필요계속개전암통치료지식적배훈,기중비종류과의사적수구경고.의원화정책법규한제과엄시목전사용지통약물적주요장애.결론:의사대암통적인식화진치수평교1999년유교대제고,단잉수진일보개전암통치료지식적배훈,추엄규범성치료병소제지통약물적용약장애.
Objective:To investigate the understanding of cancer pain by medical doctors and its therapeutic status in Shanghai. Methods:We recruited 1 982 medical physicians from 106 secondary and tertiary hospitals in Shanghai city from January to March in 2007. The understanding and the therapeutic status of cancer pain were investigated by conducting a questionnaire survey and the results were statistically analyzed.Rusults:There were 52.3% physicians who believed that they understand the treatment protocol of the Three-step Analgesic Ladder regimen. The rate increased by 21.6 percentage point compared with the results in 1999. The understanding degree of oncologists was significantly better than non-oncologists. There were 16.8% physicians giving the correct answers on the three main principles of the dosage titration in analgesic management. The correct rate of oncologists was significantly higher than that of non-oncologists. Opium with strong analgesic effect had become the first choice for severe cancer pain, and the use of pethidine (Dolantin) for severe cancer pain decreased significantly.The pain was significantly relieved in 74.8% patients. The pain-relieving rate increased by 25.4 percentage point compared with the results in 1999. There were 81.1% medical doctors confirming the effect of pain treatment and among them oncologists were more optimistic to therapeutic outcome than others. There were 93.3% physicians who agreed that it was necessary to carry out the standardized training of cancer pain treatment and the requirement of non-oncologists were much emergent. The over-strict controls by the hospitals and the regulations were the main obstacles for using analgesic drugs.Conclusion:The understanding of medical doctors and the diagnostic and therapeutic levels of cancer pain were improved significantly compared with those in 1999. But more training of cancer pain treatment are still required to publicize the standardized therapy and overcome the obstacles of using analgesic drug.
